1. Intermittent catheterization - European Association of Urology

More documents

Recommendations

Info

Action Reason 6. Clean and prepare the trolley, placing all equipment required on the bottom shelf. The top shelf acts as a clean working surface. 7. Disinfect hands with bactericidal alcohol or a bactericidal soap. To prevent contamination and urinary tract infection. 8. Open the catheterization set under aseptic conditions. To assure a aseptic catheterization technique 9. The following steps may vary if using a coated (a) or uncoated catheters (b). a. If using a hydrophilic catheter that requires hydration, open the package and fill with sterile water (following the manufacturer’s instructions) and hang the package beside the patient or trolley and wait the recommended amount time (45). It is important to wait the recommended amount of time for lubricant to activate or the urethra could be damaged. If using a hydrophilic pre-lubricated readyto-use catheter, hang the package beside the patient. b. If using a catheter without coating, open the catheter package and lubricating/anaesthetic gel and put it on the sterile wrap. 10. Place 5 to 6 woven cotton swabs in a dish with disinfection solution for meatal cleansing. 11. Put on sterile gloves. To reduce risk of infection. 12. If using a catheter that does not come with lubricant, squeeze the sterile lubricating/ anaesthetic gel onto the catheter, 3-4 cm starting from the tip. 13. Position the sterile drape under the buttocks of the patient. If necessary ask for assistance. To ensure urine does not leak onto bed. 14. If using a urine collection bag, connect the bag to the catheter. 15. Place the dish of cotton swabs (soaking in disinfection solution) on the drape. 16. With one hand, separate the labia minora. To locate the urethral meatus. continued Intermittent Cathetherization - March 2006 23
Action 17. If menstruation or discharge is present, use a cotton swab or a tampon in vagina to prevent contamination of catheter. Reason Reducing of the bacterial flora at the meatus. Using forceps, pick up and squeeze excess disinfection solution from 1 or 2 cotton swabs. Using a single downward stoke, swab the right labia. Repeat for left labia. 18. Keep holding the labia apart for +/- 30 seconds. 19. When using anaesthetic lubricating gel, allow a few drops of the lubricant solution to drip onto the orifice, since it is particularly sensitive. Apply the cone of the lubricant syringe to the orifice, stretch the urethra and instill the gel without applying any pressure. Follow the manufacturer’s advised wait time to ensure maximized anaesthetic effect (12,37,38,47,48). 20. Pick up the catheter with the other hand (wearing the sterile glove) and insert the catheter into the urethral orifice and advance the catheter until the urine flows (approx. 3- 5cm) and insert 1–2cm further. Do not use force if there are difficulties inserting the catheter. 21. Make sure the urine collection bag is below the level of the bladder. 22. If the catheter did not properly enter the urethra (e.g., entered vagina), withdraw the catheter and repeat the procedure with a new catheter. Completes disinfection process. Adequate lubrication reduces friction between the catheter and the urethra and helps to prevent urethral trauma. Use of an anesthetic minimizes the discomfort experienced by the patient, and can aid success of the procedure. To prevent urethral injury Assists in urine flow. 24 Intermittent Cathetherization - March 2006
Page 1 and 2: Good Practices in Health Care Ureth
Page 4 and 5: Table of Contents page Introduction
Page 6 and 7: Introduction to the European Associ
Page 8 and 9: 1.2.1 Neurogenic bladder dysfunctio
Page 10 and 11: 2. Anatomy 2.1 Urinary tract system
Page 12 and 13: This is important to know when coll
Page 14 and 15: 4. Catheters and catheter systems C
Page 16 and 17: Gel coatings Apart from the hydroph
Page 18 and 19: Fig. 5: Examples of flexible, round
Page 20 and 21: Fig. 8: Standard catheter connector
Page 22 and 23: Fig. 10: Female urethra For cathete
Page 26 and 27: Action 23. When urine flow stops, w
Page 28 and 29: Action Reason 12. If using a cathet
Page 30 and 31: 5.2.2.1 Difficulties that may occur
Page 32 and 33: 6. Proactive and preventive care 6.
Page 34 and 35: 8. Abbreviations used in the text C
Page 36 and 37: 10. Tammela T. Postoperative urinar
Page 38 and 39: 30. Stöhrer M, Castro-Diaz D, Char
Page 40 and 41: 50. Straffon W. Catheterisation of
Page 42 and 43: 10. About the authors Veronika Geng
Page 44: Publication of this booklet was mad

1. Intermittent catheterization - European Association of Urology

Create successful ePaper yourself

Delete template?

Save as template?